Loại hình và phạm vi vật lý trị liệu chưa được sử dụng đúng mức trong các cơ sở chăm sóc người cao tuổi tại Úc: một khảo sát quốc gia, cắt ngang về vật lý trị liệu viên
Tóm tắt
Với dân số già đi ngày càng nhiều tại Úc, ngày càng nhiều người cao tuổi yếu đuối đang sống trong các cơ sở chăm sóc người cao tuổi (RACFs). Mục tiêu của nghiên cứu này là mô tả loại hình, quy mô và nguồn tài chính của liệu pháp vật lý được sử dụng tại các RACFs ở Úc.
Các nhà vật lý trị liệu đã đăng ký (
Các lý do phổ biến cho việc giới thiệu vật lý trị liệu là quản lý đau mãn tính theo khung ACFI (89.7%), ngã (69.2%) và giảm khả năng di chuyển (35.9%). Việc phục hồi chức năng hoặc chăm sóc phục hồi ngắn hạn chỉ được cung cấp tại 22.2% các cơ sở. ACFI đã tài trợ cho 91.4% tất cả người tham gia, điều này đã hạn chế các nhà vật lý trị liệu chỉ làm việc với quản lý đau mãn tính có giá trị thấp, bao gồm cả mát xa và kích thích điện. Người trả lời đã dành 64.5% thời gian cho các nhiệm vụ ACFI, tương đương với 19 giờ mỗi tuần. Thời gian dành cho các nhiệm vụ không phải ACFI nhiều hơn, đặc biệt khi có sẵn băng kháng lực (ρ = 0.28, 95%CI 0.14–0.41) và không gian điều trị hoặc phòng tập thể dục chuyên dụng (ρ = 0.19, 95%CI 0.04–0.33).
Chuyên môn của các nhà vật lý trị liệu hiện đang bị khai thác không đúng mức trong các RACFs ở Úc, điều này có thể liên quan đến việc có sẵn nguồn tài chính công, thiết bị và không gian cho điều trị. Do đó, chính sách y tế công cần giải quyết nhu cầu cấp thiết về liệu pháp vật lý có giá trị cao dựa trên bằng chứng, nhằm hỗ trợ sự hồi phục và độc lập của người cao tuổi sống trong các RACFs.
Từ khóa
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